C-SNAP Internet Portal (CMS Secure Net Access Portal) New Clerical Error Reopen (CER) Process!

C-SNAP Internet Portal (CMS Secure Net Access Portal) New Clerical Error Reopen (CER) Process!

The C-SNAP Internet Portal was enhanced with a new Clerical Error Reopen (CER) submission process as of September 16, 2014. This enhancement will allow you to change some specific claim information on a denied claim and receive immediate notification that the claim adjustment has been accepted by the system. The CER submission function that was on the Appeals page is no longer available. Change to CMS Secure Net Access Portal (C-SNAP) Reopening Feature.

 

C-SNAP Internet Portal (CMS Secure Net Access Portal) New Overpayment Claim Adjustment (OCA) Process

C-SNAP Internet Portal (CMS Secure Net Access Portal) New Overpayment Claim Adjustment (OCA) Process

Beginning September 16, 2014, Medicare Part B providers will have an automated process to submit Medicare Secondary Payer (MSP) and non-MSP overpayment adjustments through the C-SNAP Internet Portal. Link directly to the article: CMS Secure Net Access Portal (C-SNAP) Overpayment Claim Adjustment (OCA).

 

Therapy Functional Reporting Editing

Therapy Functional Reporting Editing

Per the Centers for Medicare & Medicaid Services (CMS), standard system editing for Therapy Functional Reporting (THFR) claims has been revised. Providers should re-submit all THFR claims that may have been denied/rejected due to a missing discharge code. This is applicable to both original claim submissions as well as claim adjustments. CMS will continue to monitor the THFR reporting and will issue further instructions regarding THFR as necessary.

 

eRx Incentive Payments

eRx Incentive Payments

On September 3, 2014, WPS Medicare began issuing the 2013 eRx incentive payments. The Electronic Remittance Advice (ERA) will carry the "LE" and RX13 indicators in the PLB-03-1 and PLB-03-2 segments and the Standard Paper Remittance (SPR) will carry the message "This is an eRx incentive payment."

WPS Medicare would like to remind providers that although code "LE" is defined as a Levy in the X12 Implementation Guide, CMS uses code "LE" to indicate a federally mandated incentive payment.

 

New C-SNAP Reopenings New C-SNAP Overpayments Therapy Functional Reporting 2013 eRx Incentive Payments

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